Republic of the Philippines
Department of Health
Eastern Visayas
Center for Health Development
CONCEPT NOTE
(TITLE OF ACTIVITY)
(For meetings, advocacy activities, forum, press conferences)
I. RATIONALE
(A description or information on why there is a need for the activity)
II. OBJECTIVES
(Addresses what the activity wants to achieve)
III. EXPECTED OUTPUT
(Evidence-based product or result of the activity i.e. draft/ revised policy, action plan, etc.)
IV. STAKEHOLDERS PARTICIPATION
(Indicate the stakeholders group and their capacity or authority to contribute to the
expected output of the activity)
V. METHODOLOGY
(These are techniques that are designed to create situations favorable to the achievement
of objective/s and outputs)
VI. OPERATIONAL DETAILS
Date:
Venue :
Category of participants:
(Classification or group from which the
participants belong. Indicate name,
designation and area of assignment)
Total number of participants: Male : Female:
Facilitator/s:
Resource Person/s:
Support Staff:
Proposed Budget:
Write the breakdown of expenses i.e. catering
services, venue, logistics, etc.)
Fund Source:
Other requirement/s:
VII. PROGRAM OF ACTIVITIES
(Attach a copy of program of activities)
Prepared by: Noted by:
PHTL/PROGRAM MANAGER SECTION/ UNIT HEAD
Recommending Approval: Reviewed by:
DIVISION CHIEF MS. JOREENA CERVANTES, RN
Training Specialist II
Approved by:
_____________________________
Director IV
DOH-HRDU-CONCEPT NOTE TEMPLATE
Revision 1
April 3, 2018
Government Center, Candahug Palo, Leyte ● Tel. /Fax Nos. (053) 323-5027 / (053) 323-5025
doh.region08@gmail.com● www.ro8.doh.gov.ph